NPI age
19 years
Enumerated 2007-02-08
● Active Type 2 · Organization
Integrated Life Center, Inc.
Integrated Life Center, Inc. is 1 of 101 community based residential treatment facility, mental illness organizations in Georgia.
Primary specialty
Community Based Residential Treatment Facility, Mental Illness
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
O'Brien
Ceo
Last NPPES update
2011-11-21
Source: monthly bulk 2026-05
How this organization compares
Across 101 active community based residential treatment facility, mental illness providers in Georgia.
NPI age
19 years
↑ 5 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-02Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
4641 Stonegate Industrial Blvd
Stone Mountain, GA 300831908
Mailing address
4641 Stonegate Industrial Blvd
Stone Mountain, GA 300831908
Authorized official
Dennis Arthur O'Brien, M.D.
Ceo
📞 4043775556
Specialties
-
Community Based Residential Treatment Facility, Mental Illness PrimaryA home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 00921324A |
Practice context
Single-site organization. Only one practice location on file.
Provyx · Custom healthcare lists
Need all 101 Community Based Residential Treatment Facility, Mental Illness providers in Georgia?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →How to verify this organization
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.